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A record 512bn of work hours were lost around the world in 2023 because of the risk of heat exposure, says a new report from the Lancet Countdown on Health and Climate Change.

Agricultural workers in low-income countries were disproportionately affected, the authors say, costing countries around 8% of their GDP in 2023.

The findings are part of the ninth iteration of the annual report, which features indicators of climate change and human health, such as heat mortality, air pollution exposure and how countries are adapting.

The report highlights the many health inequalities in how energy is used around the world. According to the report, the number of deaths caused by fossil fuel-derived air pollution decreased by 7% over 2016-21 – mainly due to wealthy nations phasing out coal.

However, the vast majority of low-income countries still rely heavily on biomass and other “dirty” fuels in their homes. Dr Marina Romanello, lead author and executive director of the Lancel Countdown, added that women and children are usually in charge of sourcing and burning the fuel, making them particularly vulnerable.

The authors also call out governments and fossil fuel companies for “fuelling the fire” through continuing investment into oil and gas assets that are likely to push the world past key warming targets. The study notes that fossil fuel subsidies exceeded national health spending in 2022 for more than 20 countries around the world.

Romanello told journalists her “concern” that governments and companies “keep on promoting fossil fuel expansion, to the detriment of health and survival of people worldwide”.

Extreme heat

The impacts of extreme heat are “insidious”, Prof Ollie Jay, director of the Heat and Health Research Centre at the University of Sydney and author on the report, told a press briefing.

He explained that certain groups of people are more vulnerable to heat – including infants, the elderly, pregnant women and people with pre-existing medical conditions.

In 2023, infants and adults older than 65 faced a new record high of 14 days of heatwaves per person, the report finds. This value exceeds the previous record, set in 2022, by more than 20%.

The combination of a warming and ageing world is putting more people at risk, the report says. For example, in 2023, demographic changes alone would have driven a 65% increase in heat-related deaths among over-65s, compared to the 1990-99 average. The addition of global warming pushes this percentage up to 167% – the highest highest level recorded.

Across the whole population, the authors find that people were exposed to an average of 50 more “health-threatening heat days” in 2023 than they would have been in a world without climate change. (These are defined as days when the daily average temperature exceeds the 84.5th percentile of the 1986-2005 daily regional average.)

Beyond this global average figure, less-developed countries are much more likely to see such health-threatening days. For example, 31 such countries experienced at least 100 more days of health-threatening heat due to climate change.

The map below shows the average number of days with health-threatening temperatures attributable to climate change per year, over 2019-23, by country. Darker colours mean more health-threatening days.

Average number of days with health-threatening temperatures attributable to climate change per year, over 2019-23, by country. Source: Lancet Countdown (2024).
Average number of days with health-threatening temperatures attributable to climate change per year, over 2019-23, by country. Source: Lancet Countdown (2024).

Heat stress is particularly dangerous for outdoors workers, who are often directly exposed to the heat while undertaking manual labour. In 2023, around one-quarter of the world’s population worked outdoors.

The report finds that countries with the lowest human development index (HDI) – a measure of a country’s development – have the highest proportion of outdoors workers, largely due to their reliance on the agricultural sector.

The report measures the number of “potential work hours lost” due to heat exposure, by considering temperature, humidity and “typical metabolic rate of workers in specific economic sectors”.

It finds that heat exposure drove a record high of 512bn potential work hours lost in 2023 – around 1.5 times the 1990-99 average. Approximately two-thirds of this loss was in the agricultural sector, mainly in low and medium HDI countries. In total, the global potential loss of income due to extreme heat reached a record high of $835bn in 2023, the report says.

Wealthy countries were generally the least impacted by heat stress. Very high HDI countries only saw around 41 lost hours per worker due to heat, causing an economic loss of around 1% of their GDP. Meanwhile, low HDI countries lost more than 200 hours per worker, and saw almost an 8% loss in their GDP.

The graph below shows percentage GDP loss due to heat stress in low, medium, high and very high HDI countries, in agriculture (light green), construction (dark green), manufacturing (orange) and services (purple).

Percentage GDP loss due to heat stress in low, medium, high and very high HDI countries, in agriculture (light green), construction (dark green), manufacturing (orange) and services (purple). Source: Lancet Countdown (2024).
Percentage GDP loss due to heat stress in low, medium, high and very high HDI countries, in agriculture (light green), construction (dark green), manufacturing (orange) and services (purple). Source: Lancet Countdown (2024).

This year’s report also introduces a new indicator assessing how night-time heat affects sleep loss. The authors estimate that high night-time temperatures led to 5% more sleep hours lost in 2019-23 than in 1986-2005.

The authors say that air conditioning is an “effective technology for reducing heat exposure”. However, they say that it can also be an example of “maladaptation”, as it is “expensive and energy-intensive, overwhelms energy grids on hot days, and can contribute to greenhouse gas emissions”. 

They note that emissions from air conditioning increased by 8% over 2016-21. However, access to the technology is not universal. In 2021, 48% of households in very high HDI countries had air conditioning compared to only 5% of those in low HDI countries.

Malnutrition and disease

The report also unpacks how climate change is exacerbating food insecurity and malnutrition.

It finds that the total proportion of global land area affected by extreme drought for at least one month per year increased from 15% in 1951-60 to 44% in 2013-24.

The authors warn that “the higher frequency of heatwave days and drought months in 2022, compared with 1981-2010, was associated with 151 million more people experiencing moderate or severe food insecurity across 124 countries”.

This year, the authors also introduced a new indicator tracking changes in rainfall events. The authors divide up the world into 80km grid squares and monitor the number of rainfall events that exceed the 99th percentile of 1961-90 rainfall.

Over the last decade, extreme rainfall events increased in more than 61% of grid squares, the report finds. The authors warn that high rainfall can drive an increase in flooding, which can lead to a range of negative health incomes including outbreaks of certain diseases.

For example, Vibrio bacteria in coastal waters can cause “severe” gastrointestinal infections and “life-threatening sepsis”. The study finds that the length of coastlines with suitable conditions for the bacteria reached a new record high of more than 88,000km in 2023 – 32% above the 1990-99 average.

In addition, the total population living within 100km of coastal waters with conditions suitable for Vibrio transmission has reached a record high of 1.42 billion.

The authors also find that the climatic conditions for mosquitoes to transmit dengue, malaria and West Nile virus have increased between 1951-60 and 2014-23 as the world has warmed.

Fossil fuels

On energy use, the study notes that, “given the high greenhouse gas and air pollution emission intensity of coal, its phase-out is crucial to protect people’s health”.

Over 2016-21, very high HDI countries have seen a reduction in the share of energy that comes from coal. (The UK became the first G7 country to phase out coal power in September 2024.)

However, the report highlights that all low HDI countries are still very dependent on coal. Over 2016-21, the share of electricity that comes from coal in low HDI countries increased from less than 1% to 10%.

According to the report, the number of deaths caused by fossil fuel-derived air pollution – specifically, tiny particulate matter known as PM2.5 – decreased by 156,000 over 2016-21 – a drop of 7%. This is mainly due to reduced pollution from coal burning in high and very high HDI countries.

Dr Marina Romanello, the lead author of the report and executive director of the Lancet Countdown, told the press briefing that this an important result as it shows the “enormous potential of coal phase-out to improve health”.

However, the report also warns that biomass burning caused 1.24 million deaths in 2021 – an increase of 135,000 from 2016 levels.

For example, the report finds that 2.3bn people still cook using biomass. In low HDI countries, around 92% of countries use solid biomass for their household energy needs. Conversely, in very high HDI countries, this number is around 10%.

Romanello explained that biomass is “very unreliable, very unstable and particularly polluting”. She added:

“When households rely on biomass, it is often women and children that are in charge of sourcing the fuel, so it also generates disproportionate impacts on these groups.”

The authors also call out fossil fuel companies for “fuelling the fire”. One of the report’s indicators assesses the compatibility of fossil fuel company strategies with the Paris Agreement. It says:

“As of March 2024, the strategies of the 114 largest oil and gas companies have put them on track to exceed their share of greenhouse gas emissions consistent with limiting global heating to 1.5C by 189% in 2040, up from the 173% excess projected in March, 2023.”

The report analyses 86 countries that are collectively responsible for 93% of global CO2 emissions. They find that, in 2022, these countries awarded a record $1.2tn in fossil fuel subsidies. This funding exceeded 10% of national health spending in 47 countries and 100% in 23 countries.

Romanello shared her “concern” with the press briefing that “governments and companies keep fuelling the fire, keep on promoting fossil fuel expansion, to the detriment of health and survival of people worldwide”.

Adaptation

Finally, the report assesses countries’ preparedness for the health impacts of climate change. This section presents a mixed picture.

The report finds that, as of February 2024, fewer than half of the most recent country climate pledges made under the Paris Agreement mentioned a “health keyword”.

However, the report also finds areas of progress. For example, at the end of 2022, only four countries had put forward health national adaptation plans (HNAPs) outlining how they will plan for and adapt to the impacts of climate change on health. Just one year later, this number had jumped up to 40 countries.

Furthermore, the authors find that scientific engagement into the links between climate change and health is increasing. The number of scientific papers investigating the link between climate change and health reached a record high in 2023, with the vast majority of papers focusing on impacts, rather than mitigation or adaptation.

The graph below shows the number of academic papers published each year over 1990-2023 on climate change and health, focused on mitigation (orange), adaptation (green) and impacts (purple).

The number of academic papers published each year over 1990-2023 on climate change and health, focused on mitigation (orange), adaptation (green) and impacts (purple). Source: Lancet Countdown report (2024).
The number of academic papers published each year over 1990-2023 on climate change and health, focused on mitigation (orange), adaptation (green) and impacts (purple). Source: Lancet Countdown report (2024).

The report finds that some countries are already implementing successful adaptation measures. For example, it explains that countries with health early warning systems saw a 73% decrease in the number of people killed per extreme weather event between 2000-09 and 2014-23. In countries without such early warning systems, the decrease was only 21%.

The authors note that “the reduction cannot be directly attributed to the implementation of health early warning systems”, but suggest that countries that implement these systems likely have higher “engagement with climate change adaptation efforts”.

The positive news in this report is “not enough to tip the balance” or to “secure a healthy future”, Romanello told the press briefing. However, she said it is “meaningful progress” which can be “built on”.

Dr Jeremy Farrar served as chief scientist of the World Health Organisation, and was previously the director of the Wellcome Trust – the main funding body behind this report. He told journalists at the press briefing that despite the “incredible evidence base” available, the health community “have been too slow to make the case that climate change is a health crisis”.

However, he praised the intersectoral collaboration between health and climate experts, and said he hopes we are “turning a corner” on making sure that climate change is seen as a “health issue”.

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More than half a trillion hours of work lost in 2023 due to ‘heat exposure’

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Countries urged to ramp up “insufficient” nature policies at COP17

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A first set of biodiversity plans filed by countries to reverse nature loss are “insufficient” to meet this decade’s global targets, including a landmark goal to protect at least 30% of the world’s land and marine ecosystems by 2030, a landmark UN report warned on Thursday.

The State of Biodiversity Action, put together by a panel of technical experts for the UN Convention on Biological Diversity (CBD), was released in Yerevan, ahead of the COP17 nature talks starting on Monday in the Armenian capital.

Over the next two weeks, governments will for the first time take stock of progress towards the Global Biodiversity Framework (GBF) agreed in 2022 – a set of 23 targets also known as the “Paris Agreement for nature” – and will decide on policy guidelines for ramping up ambition before the 2030 deadline. The UN report will be the main basis for these negotiations.

At a press conference in Armenia, UN Secretary-General António Guterres highlighted that, while there has been some progress on the GBF, the “bad news” is that less than half of country plans are on track to meet its targets.

If current commitments are met by the end of the decade, only 26% of land ecosystems and 12% of marine ecosystems will be protected – falling “real short” of the 30% target agreed in Montreal in 2022, Guterres said. “The war on nature has not yet ended,” he added.

UN Environment chief Inger Andersen said the report “sets the tone for the focus, ambition and urgent action we need to deliver” in Armenia, including by reducing subsidies that harm nature and mobilising new finance for biodiversity. “All leaders and all negotiators must respond to these findings,” she emphasised.

Andersen added that climate change amplifies threats to biodiversity, which makes protection all the more important as global warming is now almost certain to rise above a key threshold. “Exceedence of 1.5C increases the likelihood of forest diebacks, phenological shifts, warming oceans that become more inhospitable to species, irreversible tipping points and so much more,” she said.

    Progress on land but ocean lags behind

    The report shows that if countries meet all the biodiversity targets in their plans, this would protect about 27% of the world’s land and sea by 2030, a fivefold increase in the span of ten years.

    Progress has been uneven, with most conservation efforts focused on terrestrial ecosystems. The report suggests that currently about 19% of land ecosystems are protected, up two percentage points from 2020, which UN authorities welcomed but said is not a fast enough pace.

    However, the real gap is at sea, where only about 10% of the global ocean has some sort of protection. Coastal areas under national jurisdiction have done better, as currently 23% of this marine territory is protected, but the report shows most of the deep ocean is not.

    Brian O’Donnell, director of Campaign for Nature, an advocacy group, said the new High Seas Treaty – which entered into force this year and will allow for the creation of Marine Protected Areas in the deep ocean – represents an opportunity, as only about 1.5% is under protection so far.

    A group of environmental NGOs including WWF and Bloomberg Philanthropies has issued a call for governments to scale up ocean conservation and to designate $16 billion annually for marine protection measures, up from $1.8bn now.

    SE Asia speeds up plan for connected clean power grid after oil shock

    Some countries did not set a conservation target at all for both land and sea, the report says, blaming technical challenges like how to account for overlapping protected areas, difficulty recognising protections for private land and land-accounting methodologies changing over time.

    A separate report by Campaign for Nature suggests that the 30×30 goal could still be met with “increased ambition and commitment”, and says that around 50 countries have already protected about 30% of their land.

    A group of environmental NGOs has warned that, beyond the 30% headline figure, protected areas need to be “high integrity” and recognise the stewardship of local communities and Indigenous peoples.

    Largely pristine rainforest surrounds the Oiapoque River, which marks the border between Brazil and French Guiana
    Largely pristine rainforest surrounds the Oiapoque River, which marks the border between Brazil and French Guiana (Photo: Pedro Ladeira)

    Developing countries call for finance

    Rich countries will arrive at COP17 with shrinking aid budgets and geopolitical preoccupations – yet they will likely hear the same plea they’ve heard for the past few years: stepping up commitments will require finance.

    A submission by African countries in August said the “implementation gap” has at its core a shortfall in the provision of funds, and that bridging it will require predictable and accessible finance.

    Pacific island nations launched a similar call, arguing there is “a treaty obligation” that developing countries, including themselves, will effectively implement commitments depending on the finance and technology made available by developed nations.

    To close this gap, the EU made a proposal at preliminary talks in Nairobi in August to expand the base of donors so that richer developing countries could voluntarily assume donor responsibilities. Saudi Arabia and Qatar rejected the idea, while China said this should not weaken the responsibility of developed nations.

    Pre-COP draws attention to Pacific’s climate plight and 1.5C goal

    So far, wealthy governments have missed a target to provide $20bn per year in international public finance for nature protection by 2025, reaching only about $16bn per year from 2023 to 2025, according to an OECD report. By 2030, the GBF aims for developed countries to directly transfer $30bn per year, and mobilise $200bn from all sources.

    The UN report released on Thursday shows even slower progress in redirecting harmful subsidies such as those which encourage the overuse of fertilisers and the production and consumption of new fossil fuels, and below-market fees that encourage overfishing. UN Environment estimates that for every dollar spent protecting nature, $30 goes on destroying it.

    UN biodiversity chief Astrid Schomaker told journalists in Yerevan that “if you hear there is no finance, please do not believe it” because economies are continuing to grow. “It is being spent on activities that harm the economy rather than those that work with nature and sustain life on this planet,” she said.

    Guterres said developed countries tend to say they are grappling with budget constraints due to increased defence expenditure, which “in my view does not justify a reduction” in international aid. He added that existing resources can be multiplied if they are used to mobilise private capital.

    Campaigners, companies and the Armenian government want to shift the needle on this situation at COP17 by highlighting how positive subsidies help restore biodiversity. They will launch a flagship call to action that will be taken forward by countries and groups working to reform damaging incentives.

    Nature-based solutions may include restoring and conserving coral reefs and mangrove belts to enhance resilience to coastal flooding and sea level rise. (Photo: NPS Climate Change Response)

    Global review: the main act

    The Global Review of Collective Progress – a bit like the Global Stocktake for climate action – is set to be the most important outcome from COP17, and it will be the first time this process unfolds at the biodiversity talks. The actions decided in Yerevan will respond to the gaps outlined in the State of Biodiversity Action report and determine whether countries can turn the tide of biodiversity loss this decade.

    Overall, the report shows that while countries have taken action to address all 23 targets in the GBF, none “present a fully positive picture”. A target to strengthen the resilience of ecosystems to climate impacts is the only one with high relative progress, the report says, as government have already made effective interventions that show “a positive trend”.

    The report assessed each country’s national targets, which define their contribution to the global goals, as well as their separate National Biodiversity Strategy and Action Plans (NBSAPs) outlining how they will achieve the national targets.

    But it does not paint a complete picture, since at the cut-off date, only 89 NBSAPs and national targets from 162 countries had been submitted, leaving out a couple of dozen plans that arrived late. Pacific island nations said this might undercount commitments.

    Many of those lacking an NBSAP are biodiversity-rich developing countries, which say they need financial and technical support to fully develop these plans. Some large nations pending an NBSAP include South Africa, Bolivia and Russia.

    Since the GBF was agreed in 2022, governments have mostly focused on developing their biodiversity targets and plans, while the lion’s share of implementation is expected to happen towards the end of the decade, according to UN biodiversity chief Schomaker.

    But O’Donnell said “accelerated political ambition” is still needed to improve commitments and translate them into effective protection on the ground or at sea.

    The post Countries urged to ramp up “insufficient” nature policies at COP17 appeared first on Climate Home News.

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    COP17: Tracking progress towards the UN’s 2030 nature targets

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